Routine inspection·May 22, 2025

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with lead staff, Emilyn Sampana . During visit, LPA toured the facility with staff to include the kitchen, living room, dining room, resident bedrooms, staff bedroom, bathrooms, and backyard. All exit routes are free and clear of obstruction. The shed in the backyard contains storage items. All staff present are fingerprint cleared and associated to the facility. Residents observed watching a movie in the living room and one resident was asleep in bed. Facility temperature maintained at 72 degrees Fahrenheit. Fire extinguisher last serviced on 08/15/2024. Facility has a smoke detector and carbon monoxide detector. Sharp objects, chemicals, and disinfectants observed secured in the kitchen. Chemicals and disinfectants stored separately from food supply. Medications observed in a locked cabinet. Facility has at least 2 days worth of perishables and 7 days worth of non-perishable foods. Refrigerator temperature maintained at 38 degrees Fahrenheit. Freezer temperature maintained at 0 degrees Fahrenheit. All items inside the refrigerator observed covered and labeled. The non-perishable foods are accessible and no child lock device observed on the cabinets. Resident bedrooms equipped with hospital beds, linens, adequate lighting, chair, and dresser. Bathroom equipped with shower chairs and grab bars. Hot water temperature in the resident bathroom maintained at 114.4 degrees Fahrenheit. SEE LIC809-C. LPA reviewed 5 resident files. 5 out of 5 resident files observed complete and up-to-date. 5 out of 5 residents centrally stored medications and centrally stored medication records were reviewed and all medications were accounted for. LPA reviewed 3 staff files. 3 out of 3 staff has an updated 1st aid certification, health screening report, and TB result. 3 out of 3 staff are fingerprint cleared and associated to the facility. 3 out of 3 staff are provided at least 20 hours of annual training per Title 22 regulations. Facility has an emergency disaster plan. LPA advised Administrator to review the emergency disaster plan annually to ensure accuracy. Emergency drill was last conducted in January and April 2025. Facility has an infection control plan. LPA advised Administrator to review the infection control plan annually to ensure accuracy. LPA observed the facility has a complete 1st aid kit and extra flash lights in case of an emergency. Facility has PPE (Personal Protective Equipment) to include masks, gloves, and hand sanitizer which were observed throughout the facility. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with lead staff, Emilyn Sampana and a copy of the report was provided.